A N Collage

COLLEGE LEAVING CERTIFICATE

Student Id

This is to Certify That Mr/Miss/Mrs *

Father's Name *

Mother's Name *

Aadhaar No. *

Mobile No *

Email *

Course*

Course Name*

Only Honours Name ~~(Honours)~~

(Honours)

Last Passed Class *

During The Session *

Status *

Board *

Passing Grade *

Select Division & Class *

Exam Month *

Exam Year *.

College Roll No *

Registration No *

Date of Birth (yyyy-mm-dd): *

University / BSEB Roll No *

Last Exam Certificate *

Last Exam Marksheet *

Student Photo *

Receipt 1

Receipt 2

Receipt 3

Receipt 4

Here By I am Declaring that I have No Dues Remaining in the college, library or lab.